| NPI | 1164692620 |
|---|---|
| Other Name | OPTICAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER POLLARD Licensed Optician 973-740-0111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NJ 31TD00370600) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-06-12 |